LAURYN MARIE BISSONNETTE LCPC - NPI 1225814817 - Counselor in South Portland, ME

Q: What is Lauryn Bissonnette's NPI number?

The NPI number for Lauryn Bissonnette is 1225814817. It was assigned to this individual provider in the NPPES registry on September 7, 2023.

Q: What is Lauryn Bissonnette's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

On this page

About Lauryn Marie Bissonnette Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURYN MARIE BISSONNETTE LCPC (NPI 1225814817) is an individual professional provider in South Portland, Maine, licensed in Maine (CC8477) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1225814817

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameLAURYN MARIE BISSONNETTECredential: LCPC

Location Address707 SABLE OAKS DR STE 230South Portland, ME 04106-6954

Mailing Address707 Sable Oaks Dr Ste 230South Portland, ME 04106-6954 · (866) 903-8428 · Fax (207) 422-7268

Phone(866) 903-8428

Fax(207) 422-7268

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 7, 2023

Last NPPES UpdateMay 26, 20263 updates tracked since enumeration

NPPES CertifiedMay 26, 2026

✔ NPI 1225814817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in ME · CC8477

707 SABLE OAKS DR STE 230, South Portland, ME 04106

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauryn Marie Bissonnette Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446726962

PECOS Enrollment IDI20260421002707

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.